Exam (elaborations)
CCRI Nursing 1010 HESI 1 NCLEX Questions with Complete Solutions.pdf 100%correct
- Course
- Institution
CCRI Nursing 1010 HESI 1 NCLEX Questions with Complete S
[Show more]
Seller
Follow
Content preview
CCRI Nursing 1010 HESI 1 NCLEX Questions with Complete Solutions.pdf file:///C:/Users/Franc/Documents/22222222222222/CCRI%20NursThe nurse hears a client calling out for help, hurries down the hallway to the client's
room, and finds the client lying on the floor. The nurse performs an assessment, assists
the client back to bed, notifies the primary health care provider, and completes an
occurrence report. Which statement should the nurse document on the occurrence
report?
1. The client fell out of bed.
2. The client climbed over the side rails.
3. The client was found lying on the floor.
4. The client became restless and tried to get out of bed. - 16.correct Answer: 3
Rationale: The occurrence report should contain a factual description of the
occurrence, any injuries experienced by those involved, and the outcome of the
situation. The correct option is the only one that describes the facts as observed by
the nurse. Options 1, 2, and 4 are interpretations of the situation and are not factual
1 of 108 02/09/2024, 12
,CCRI Nursing 1010 HESI 1 NCLEX Questions with Complete Solutions.pdf file:///C:/Users/Franc/Documents/22222222222222/CCRI%20Nurs
information as observed by the nurse.
A client is brought to the emergency department by emergency medical services (EMS)
after being hit by a car. The name of the client is unknown, and the client has sustained
a severe head injury and multiple fractures and is unconscious. An emergency
craniotomy is required. Regarding informed consent for the surgical procedure, which is
the best action?
1. Obtain a court order for the surgical procedure.
2. Ask the EMS team to sign the informed consent.
3. Transport the victim to the operating room for surgery.
4. Call the police to identify the client and locate the family. - 17. correct Answer: 3
Rationale: In general, there are two situations in which informed consent of an
adult client is not needed. One is when an emergency is present and delaying
treatment for the purpose of obtaining informed consent would result in injury or
death to the client. The second is when the client waives the right to give informed
2 of 108 02/09/2024, 12
,CCRI Nursing 1010 HESI 1 NCLEX Questions with Complete Solutions.pdf file:///C:/Users/Franc/Documents/22222222222222/CCRI%20Nurs
consent. Option 1 will delay emergency treatment, and option 2 is inappropriate.
Although option 4 may be pursued, it is not the best action because it delays
necessary emergency treatment.
The nurse has just assisted a client back to bed after a fall. The nurse and primary
health care provider have assessed the client and have determined that the client is not
injured. After completing the occurrence report, the nurse should implement which
action next?
1. Reassess the client.
2. Conduct a staff meeting to describe the fall.
3. Contact the nursing supervisor to update information regarding
the fall.
4. Document in the nurse's notes that an occurrence report was
completed. - correct Answer: 1
Rationale: After a client's fall, the nurse must frequently reassess the client,
3 of 108 02/09/2024, 12
,CCRI Nursing 1010 HESI 1 NCLEX Questions with Complete Solutions.pdf file:///C:/Users/Franc/Documents/22222222222222/CCRI%20Nurs
because potential complications do not always appear immediately after the fall. The
client's fall should be treated as private information and shared on a "need to know"
basis. Communication regarding the event should involve only the individuals
participating in the client's care. An occurrence report is a problem-solving
document; however, its completion is not documented in the nurse's notes. If the
nursing supervisor has been made aware of the occurrence, the supervisor will
contact the nurse if status update is necessary.
The nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for
the day because the ICU is understaffed and needs additional nurses to care for the
clients. The nurse has never worked in the ICU. The nurse should take which best
action?
1. Refuse to float to the ICU based on lack of unit orientation.
2. Clarify the ICU client assignment with the team leader to ensure
that it is a safe assignment.
4 of 108 02/09/2024, 12
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LECTSTANLUS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78252 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now